I have a SCUF Reflex FPS for the games that don’t need the adaptive trigger feature, and the regular one for the ones that do. They are expensive af, but I have joint hypermobility and the FPS version is the one that my hands hurt the least with, and it’s the one I most heavily use. The paddle shape and position fits my hand and it’s super lightweight.

SCUF has a reputation for poor quality control, but my FPS lived through the poorest treatment for a year, until the left trigger finally died. They don’t have a large warranty, but they repaired my controller without coverage for ~50€, and threw in a case (it’s included now, but wasn’t when I bought it) and thumbstick replacements when they sent it back.